MEDICARE: MS. BRITTANY LANE STORMS LLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6451022532	MI

General Provider Information

NPI Number	:	1144035304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRITTANY LANE STORMS LLPC

Provider Business Mailing Address
First Line	:	2316 CUMBERLAND ST
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49006-1320
Country	:	US
Telephone Number	:	920-268-5518
Fax Number	:

Provider Business Practice Location Address
First Line	:	9361 CHERRY VALLEY AVE SE
Second Line	:
City	:	CALEDONIA
State	:	MI
Zip	:	49316-9506
Country	:	US
Telephone Number	:	616-202-1280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	02/12/2025

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